DR. RYAN LEE BLACKSTOCK PSY.D., LP
NPI 1104014273
Psychologist in Brownstown Twp, MI

Active since October 13, 2007
19366 ALLEN RD, SUITE C, BROWNSTOWN TWP, MI 48183(734) 479-0949(734) 479-1637 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ryan Lee Blackstock Psy.d., Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN LEE BLACKSTOCK PSY.D., LP (NPI 1104014273) is an individual psychologist in Brownstown Twp, Michigan, licensed in Michigan (6301013412) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1104014273
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RYAN LEE BLACKSTOCKCredential: PSY.D., LP
Location Address19366 ALLEN RD, SUITE CBrownstown Twp, MI 48183-6809
Mailing Address9237 Becker AveAllen Park, MI 48101-1563 · (248) 763-9194
Fax(734) 479-1637
Sole ProprietorYes
Enumeration DateOctober 13, 2007
Last NPPES UpdateAugust 27, 2010
NPI 1104014273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301013412
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
19366 ALLEN RD, Brownstown Twp, MI 48183

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
19366 ALLEN RD, SUITE C
BROWNSTOWN TWP, MI 48183
Counselor (Mental Health)
19366 ALLEN RD, SUITE C
BROWNSTOWN TWP, MI 48183
Nurse Practitioner (Psychiatric/Mental Health)
19366 ALLEN RD
BROWNSTOWN TWP, MI 48183
Neuromusculoskeletal Medicine & OMM
19366 ALLEN RD
BROWNSTOWN TWP, MI 48183
Psychologist (Counseling)
19366 ALLEN RD, SUITE C
BROWNSTOWN TWP, MI 48183
Counselor
19366 ALLEN RD
BROWNSTOWN, MI 48183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Blackstock's NPI number?

The NPI number for Ryan Blackstock is 1104014273. It was assigned to this individual provider in the NPPES registry on October 13, 2007.

Where is Ryan Blackstock located?

Ryan Blackstock practices at 19366 Allen Rd Suite C, Brownstown Twp, MI 48183. The listed phone number is (734) 479-0949.

What is Ryan Blackstock's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Ryan Blackstock accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ryan Blackstock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Blackstock was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.